*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter - as a primary diagnosis code | S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter - as a primary or secondary diagnosis code | |
|---|---|---|
| OUTCOMES | ||
| Avg. LOS | 5.33 | |
| Readmission Rate (%) | 21.27 | |
| Unplanned Readmission Rate (%) | 8.31 | |
| Mortality Rate (%) | ||
| SNF Discharge Rate (%) | ||
| Home Discharge Rate (%) | ||
| PAYMENTS AND CHARGES | ||
| Total Medicare Payments | ||
| Payment Per Day | ||
| Payment Per Hospitalization | ||
| Total Medicare Charges | ||
| Avg. Charges | ||
| MARKET SIZING & INCIDENCE RATES | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - All) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - All) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Yes) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Yes) | ||
| Total National Projected Hospitalizations - Annualized (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations - Oct 2015 to Sep 2018 (Present on Admission - Not Y) | ||
| Total Medicare Hospitalizations after Exclusion | ||
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 124: OTHER DISORDERS OF THE EYE WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 115: EXTRAOCULAR PROCEDURES EXCEPT ORBIT | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 113: ORBITAL PROCEDURES WITH COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 11,033 | ||||
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 272 | ||||
| DRG Share of Total Hospitalizations | 0.03 | ||||
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 57.75 | ||||
| Avg LOS at DRG | 3.12 | ||||
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 2.31 | ||||
| Readmission Rate at DRG | 14.43 | ||||
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 12.79 | ||||
| Unplanned Readmission Rate at DRG | 9.53 | ||||
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 8.53 | ||||
| Total Medicare payments at DRG | $51,804,064 | ||||
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,338,480 | ||||
| Total Medicare payment per Day at DRG | $1,505 | ||||
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $2,131 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,695 | ||||
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $4,921 | ||||
| Total Medicare Charges at DRG | $301,182,636 | ||||
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $8,722,797 | ||||
| Avg Charges at DRG | $27,298 | ||||
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $32,069 | ||||
| Mortality Rate at DRG | 0.11 | ||||
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 17.96 | ||||
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 31.62 | ||||
| Home Discharge Rate at DRG | 57.38 | ||||
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 35.29 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 987: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|
| Total Hospitalizations at DRG | 33,583 |
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 12 |
| DRG Share of Total Hospitalizations | 0.1 |
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 2.55 |
| Avg LOS at DRG | 11.44 |
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 4.5 |
| Readmission Rate at DRG | 33.65 |
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA |
| Unplanned Readmission Rate at DRG | 21.15 |
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA |
| Total Medicare payments at DRG | $802,022,870 |
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $185,006 |
| Total Medicare payment per Day at DRG | $2,088 |
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $3,426 |
| Total Medicare payment per Hospitalization at DRG | $23,882 |
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $15,417 |
| Total Medicare Charges at DRG | $3,957,485,422 |
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $917,210 |
| Avg Charges at DRG | $117,842 |
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $76,434 |
| Mortality Rate at DRG | 8.73 |
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA |
| SNF Discharge Rate at DRG | 24.87 |
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA |
| Home Discharge Rate at DRG | 28.69 |
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 086: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | DRG 312: SYNCOPE AND COLLAPSE | DRG 087: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 125: OTHER DISORDERS OF THE EYE WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 083: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH COMPLICATION OR COMORBIDITY (CC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 50,567 | ||||
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 872 | ||||
| DRG Share of Total Hospitalizations | 0.15 | ||||
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 5.68 | ||||
| Avg LOS at DRG | 4.05 | ||||
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 3.84 | ||||
| Readmission Rate at DRG | 26.88 | ||||
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 21.54 | ||||
| Unplanned Readmission Rate at DRG | 12.36 | ||||
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 10.89 | ||||
| Total Medicare payments at DRG | $378,594,631 | ||||
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $6,418,948 | ||||
| Total Medicare payment per Day at DRG | $1,847 | ||||
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,916 | ||||
| Total Medicare payment per Hospitalization at DRG | $7,487 | ||||
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $7,361 | ||||
| Total Medicare Charges at DRG | $2,140,437,521 | ||||
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $36,772,391 | ||||
| Avg Charges at DRG | $42,329 | ||||
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $42,170 | ||||
| Mortality Rate at DRG | 1.75 | ||||
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 2.06 | ||||
| SNF Discharge Rate at DRG | 32.85 | ||||
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 31.19 | ||||
| Home Discharge Rate at DRG | 27.18 | ||||
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 29.82 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 563: FRACTURE SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 085: TRAUMATIC STUPOR AND COMA, COMA <1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION OR COMORBIDITY (CC) | DRG 552: MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 084: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITHOUT COMPLICATION OR COMORBIDITY (CC)/MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 83,488 | ||||
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 348 | ||||
| DRG Share of Total Hospitalizations | 0.25 | ||||
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 2.27 | ||||
| Avg LOS at DRG | 3.48 | ||||
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 3.3 | ||||
| Readmission Rate at DRG | 19.78 | ||||
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 21.95 | ||||
| Unplanned Readmission Rate at DRG | 8.24 | ||||
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 7.93 | ||||
| Total Medicare payments at DRG | $412,311,224 | ||||
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,650,493 | ||||
| Total Medicare payment per Day at DRG | $1,421 | ||||
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,439 | ||||
| Total Medicare payment per Hospitalization at DRG | $4,939 | ||||
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $4,743 | ||||
| Total Medicare Charges at DRG | $2,194,270,678 | ||||
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $10,977,622 | ||||
| Avg Charges at DRG | $26,282 | ||||
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $31,545 | ||||
| Mortality Rate at DRG | 0.22 | ||||
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 54.16 | ||||
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 56.32 | ||||
| Home Discharge Rate at DRG | 17.27 | ||||
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 16.38 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 885: PSYCHOSES | DRG 082: TRAUMATIC STUPOR AND COMA, COMA >1 HOUR WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 988: NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION OR COMORBIDITY (CC) | DRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM , FLUIDS AND ELECTROLYTES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 1,100,860 | ||||
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 232 | ||||
| DRG Share of Total Hospitalizations | 3.35 | ||||
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 1.51 | ||||
| Avg LOS at DRG | 11.86 | ||||
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 23.22 | ||||
| Readmission Rate at DRG | 27.58 | ||||
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 28.36 | ||||
| Unplanned Readmission Rate at DRG | 13.34 | ||||
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 18.41 | ||||
| Total Medicare payments at DRG | $9,312,828,663 | ||||
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $3,384,958 | ||||
| Total Medicare payment per Day at DRG | $713 | ||||
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $628 | ||||
| Total Medicare payment per Hospitalization at DRG | $8,460 | ||||
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $14,590 | ||||
| Total Medicare Charges at DRG | $32,341,464,302 | ||||
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $15,139,850 | ||||
| Avg Charges at DRG | $29,378 | ||||
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $65,258 | ||||
| Mortality Rate at DRG | 0.04 | ||||
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 5.83 | ||||
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 12.93 | ||||
| Home Discharge Rate at DRG | 79.47 | ||||
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 57.33 |
*Readmission Rate is calculated from Oct 2015 to Aug 2018 and all other Quality Outcomes are calculated from Oct 2015 to Sep 2018.
| DRG 683: RENAL FAILURE WITH COMPLICATION OR COMORBIDITY (CC) | DRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 101: SEIZURES WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 470: MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | DRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MAJOR COMPLICATION OR COMORBIDITY (MCC) | |
|---|---|---|---|---|---|
| Total Hospitalizations at DRG | 434,264 | ||||
| Total Hospitalizations with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 183 | ||||
| DRG Share of Total Hospitalizations | 1.32 | ||||
| % of Total ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter in DRG | 1.19 | ||||
| Avg LOS at DRG | 3.94 | ||||
| Avg LOS with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 3.36 | ||||
| Readmission Rate at DRG | 22.76 | ||||
| Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 15.48 | ||||
| Unplanned Readmission Rate at DRG | 16.46 | ||||
| Unplanned Readmission Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 7.74 | ||||
| Total Medicare payments at DRG | $2,472,138,198 | ||||
| Total Medicare payments with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,040,219 | ||||
| Total Medicare payment per Day at DRG | $1,444 | ||||
| Total Medicare payment per Day with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $1,694 | ||||
| Total Medicare payment per Hospitalization at DRG | $5,693 | ||||
| Total Medicare payment per Hospitalization with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $5,684 | ||||
| Total Medicare Charges at DRG | $12,478,361,060 | ||||
| Total Medicare Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $5,943,101 | ||||
| Avg Charges at DRG | $28,735 | ||||
| Avg Charges with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | $32,476 | ||||
| Mortality Rate at DRG | 0.91 | ||||
| Mortality Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | NA | ||||
| SNF Discharge Rate at DRG | 22.02 | ||||
| SNF Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 36.07 | ||||
| Home Discharge Rate at DRG | 46.68 | ||||
| Home Discharge Rate with ICD S01112A - Laceration without foreign body of left eyelid and periocular area, initial encounter | 30.6 |
| Hospital Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| SARASOTA MEMORIAL HOSPITAL | 1700 S TAMIAMI TRL | SARASOTA | FL | 34239 | 70 |
| RHODE ISLAND HOSPITAL | 593 EDDY ST | PROVIDENCE | RI | 02903 | 62 |
| YALE NEW HAVEN HOSPITAL | 20 YORK ST | NEW HAVEN | CT | 06504 | 58 |
| Physician Name | Address | City | State | Zip Code | Total Hospitalizations ( Oct 2015 to Sep 2018 ) |
|---|---|---|---|---|---|
| Dr. CHRISTIAN R SCHUETZ | 2042 FRIST BLVD | FORT PIERCE | FL | 34950 | 15 |
| Dr. ALBERTO NUNEZ | BROAD AND VINE STREET | PHILADELPHIA | PA | 19102 | 12 |